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Recent Answers

I Wanted Upper Pole Fullness, Why Didn't 960cc Get Me This?

44DD Pre-op and Had a Lift and Aug with Saline 960cc Mod Plus Implants Now I'm a 44DDD. im 34 5'6 and 200lbs, with 2 kids. i wanted to go to a full size F with upper pole fullness and the high fake look, with the round look at the top of my breast. i look saggy and small with no upper fullness and my breast have no roundness up top. i want to go ALOT bigger in the future but i'm wondering what happened and why did my breast turn out like this??? Please help!!

A: No upper pole fullness - gravity and stretching of your tissue is the issue!

What you needed was some advice and insistence that the decision to use such larger implants was a bad idea. Unfortunately, you and your surgeon made a decision together that used flawed logic. Like many other things in life, you can not always have what you want.

Plastic Surgeons have a responsibility to educate you about the consequences of excessively large implants and tell you to not have surgery like this. However, you have a responsibility to listen to the advice and to be realisitic. How will larger implants not result in more gravitational changes and stretching of your tissues?

Dr. Mosher 

Mathew C. Mosher, MD
Vancouver Plastic Surgeon

Which Procedure is Best for Saggy Breasts For a 22 Year Old? (photo)

I'm 22 years old and my breast sag and lay nearly flat on my chest. Bending to the front makes them look like cow utters and laying back they look deflated. I'm a 34C and I don't want to be bigger. I also heard that lifts take a long time to heal and can come undone. So my question is what is the best approach to take?

A: A breast lift should be discussed with your Plastic Surgeon

Your goal of not wanting to be bigger is important and I am glad for this. You have tissue that has stretched at a young age so adding size and weight with a breast implant at the time of a breast lift is not advisable. You have enough breast tissue to look proportional ( as you already know when wearing a bra) but your shape is not optimal. A breast lift can create a more perky look, reduce the diameter of your areola and position the nipple and areala more in the middle of your breast.

As a young woman it is important to discuss the implications of a breast lift for you. This surgery does leave permanent scars, will require some maintenance surgery down the road, may affect your ability to breast feed in the future and may permanently change your breast sensitivity. With an open discussion about your goals and expectations, you and your Plastic Surgeon should be able to decide if a breast lift is right for you

Dr. Mosher

Mathew C. Mosher, MD
Vancouver Plastic Surgeon

Different Doctors Have Suggested Benelli or Full Anchor Lift, Which Would be Best? (photo)

I have consulted with two board certified plastic surgeons in regards to having full abdominoplasty and breast lift. One surgeon said all I would need is a Benelli lift, the other said I need a full "anchor" lift. Why is there such a discrepancy? And why not a lollipop? After having 6 kids,and breastfeeding all of them, I just want my breasts to be back where they once were, and to stay in my bra when I lean over!! All of this just seems to get more confusing... Please help!

A: There's more to the breast lift than just the scar

I agree with the surgeons who have suggested you would do well with a vertical ("lollipop") type of lift. The advantage of this technique is what the surgeon can do beneath the skin to improve the shape of your breast. The loose lower part of your breast can be tightened internally and sometimes we will use some of the lower tissue to move higher in the breast, essentially using your own tissue to create the effect of a small implant.  Typically the scars heal  well. The Benelli lift is a reasonable choice if you need a very small amount of lift (1 or 2 cm) and particularly if you are having an implant placed at the same time. Good luck.

Nicholas Carr, MD
Vancouver Plastic Surgeon
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